* Name
Address
City
State
Zip
* Email
Phone
Why do you want to adopt a Chesapeake?
Will it be a:
Hunting Dog;
Pet;
Indoor;
Outdoor;
Indoor/outdoor
Have you previously owned a Chesapeake?
Other Chessie experience:
FAMILY:
Children/ages:
Others regularly in the home:
Is everyone in the home in agreement about adopting a chessie?
Do you own other dogs (specify)
Cats?
Is someone at home during the day?
How many hours a day would chessie be alone?
Do you have a fenced yard?
Size:
Height of fence:
Do you have a kennel run?
Size:
ADOPTION PREFERENCE:
Male:
Female:
(All rescue chessies are spayed/neutered). Age range:
LIFESTYLE:
Very active/outdoor activities:
Quiet/less active:
Do you understand that Chesapeakes are quite active dogs and although
they are good indoor companions, they are a breed with moderate to high exercise requirements?
Do you understand the protective nature of a Chesapeake and prepared
to work with this trait?
If not a previous Chesapeake owner, have you researched the breed,
read books, the internet,
visited a chesapeake breeder/kennel?
REFERENCES:
Do you currently belong to any dog club or participate in any dog activities/classes,
etc.?
Please explain or list:
What veterinarian do/would you use?
(2) Personal references:
Signature (if printed) _________________________________
Date:
Please feel free to add any other information to help us understand
your desire for a chessie and the kind of home it would have with you, as well as
additional expectations you would have for him/her:
We use an adoption contract whereby you promise to take good care
of this adopted chessie, keep dog in good health, continue socializing and obedience
training as needed. Our adoption fee is $225.00**.
Adopting a chessie is a serious commitment - their life span averages 14 to 16 years.
We try to share all the information we can about each dog as he/she is adopted. We
welcome your questions and continued interest whether you adopt in the near future
or are considering for some later time.
**MICRO-CHIPPING - Chesapeake Safe Harbor is very pleased to be adding the capability of micro-chipping each rescued Chessie that comes thru our program, if not already done. The new home will receive the appropriate forms to register the chip number in his/her own name with AVID, a national registry.
Chesapeake Safe Harbor
113 Waldoboro Road
Bremen, ME 04551 (207) 529-4511